| Name: | MWilsonCRNP LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Aug 2020 (4 years ago) |
| Entity Number: | 000-643-432 |
| Register Number: | 000643432 |
| ZIP code: | 35216 |
| County: | Jefferson |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 5012 BENT RIVER TRACEVESTAVIA, AL 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700603636 | 2024-09-23 | 2024-09-23 | 2737 GRIFFIN WAY, HOOVER, AL, 352447300, US | 2737 GRIFFIN WAY, HOOVER, AL, 352447300, US | |||||||||||||
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| Phone | +1 205-789-1804 |
Authorized person
| Name | MELINDA WILSON |
| Role | CEO |
| Phone | 2057891804 |
Taxonomy
| Taxonomy Code | 363LN0000X - Neonatal Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WILSON, MELINDA | Agent |
| Name | Role | Address |
|---|---|---|
| SHEEDY, BRETT S | Organizer | 2120 16TH AVENUE SOUTH SUITE 100BIRMINGHAM, AL 35205 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
